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PALM HAVEN ASSISTED LIVING, INC. - Florida Company Profile

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Company Details

Entity Name: PALM HAVEN ASSISTED LIVING, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 04 Mar 2010 (15 years ago)
Date of dissolution: 23 Sep 2011 (14 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2011 (14 years ago)
Document Number: P10000019538
Address: 1646 N. RIVER DRIVE, MARGATE, FL, 33063
Mail Address: 1646 N. RIVER DRIVE, MARGATE, FL, 33063
ZIP code: 33063
City: Pompano Beach
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GARDNER ZEB President 1646 N. RIVER DRIVE, MARGATE, FL, 33063
SAFAIA STEVE Vice President 1646 N. RIVER DRIVE, MARGATE, FL, 33063
ACKBERSIGHN GENA Vice President 1646 N. RIVER DRIVE, MARGATE, FL, 33063
GARDNER ZEB Agent 1646 N. RIVER DRIVE, MARGATE, FL, 33063

National Provider Identifier

NPI Number:
1770806002

Authorized Person:

Name:
ZEB GARDNER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
3104A0630X - Assisted Living Facility (Behavioral Disturbances)
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 - -

Documents

Name Date
Domestic Profit 2010-03-04

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Date of last update: 03 Aug 2025

Sources: Florida Department of State